Acute Rheumatism
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Ann. rheum. Dis. (1970), 29, 569 Ann Rheum Dis: first published as 10.1136/ard.29.5.569 on 1 September 1970. Downloaded from Abstracts This section is published in collaboration with Abstracts of World Medicine and Ophthalmic Literature, published by the British Medical Association, and also includes a great many which are specially commissioned for this Journal. They are divided into the following sections: Acute Rheumatism Other Forms of Arthritis Immunology and Serology Rheumatoid Arthritis Bone Diseases Biochemical Studies Still's Disease Non-articular Rheumatism, including Disk Therapy Osteoarthrosis Syndromes, Sciatica, etc. Surgery Spondylitis Pararheumatic (Collagen) Diseases Other General Subjects Gout Connective Tissue Studies At the end of each section is a list of titles of articles noted but not abstracted. Not all sections may be represented in any one issue. Acute rheumatism published in the past, this is the first from Iran, and it emanates from the Pahlavi University School of Medical A Day Hospital for Children with Rheumatic Fever (Paediatric) Cardiology in Shiraz. The prevalence of SPAGNUOLO, M., GAVRIN, J., and RYAN, J. (1970) rheumatic fever over a 10-year period was found to be Pediatrics, 45, 276 1 fig., 11 refs 0 5 per cent., which is higher than that currently reported by copyright. from most Western In the rheumatic disorders of children, as in other ill- countries. In forty episodes observed nesses, the amount of medical supervision needed de- amongst patients of an average age of 10 years, 45 had creases with time, although continued observation re- established carditis (64-5 per cent.), but very few de- mains desirable. The need to avoid the overuse of specia- veloped chorea. Of 55 patients totalling seventy hospital lized and expensive hospital facilities, has led to the admissions, eight died, a case fatality rate of 14-2 per establishment in several places of Day Hospitals, upon cent. No significant difference in socioeconomic status an experimental basis. This report is from the Irvington was detected between the rheumatic and control groups; House contrary to the widely held impression that the disease Day Hospital, New York, where the patients is more frequent in environments in which malnutrition, have the benefit of whatever medical attention and poverty, and overcrowding are prevalent. auxiliary services may be needed and can return home http://ard.bmj.com/ at night. W. S. C. COPEMAN The authors report on one hundred consecutive chil- Role of Tonsils in predisposing to Streptococcal Infections dren with acute rheumatic fever who attended during the and Recurrences of Rheumatic Fever FEINSTEIN, A. R., latter part of their illness at a time when they were able and LEvIrr, M. (1970) New Engl. J. Med., 282, 285 1 to tolerate near-normal activities. Most of them were fig., bibl. finally discharged shortly after discontinuation oftherapy, (see Abstr. Wld Med. (1970), 44, 454). although a few of the exceptions who are described had to be readmitted with clinical rebounds and other Indirect Immunofluorescence in the Serological Diagnosis on September 28, 2021 by guest. Protected residual disorders. of Streptococcal Diseases L. Application in Rheumatic The incidence of permanent heart disease in those Fever (L'immunofluorescenza indiretta nella diagnosi who attended the day hospital did not differ from that sierologica delle affezioni streptococciche. I. Utilizza- in children who had been subjected to full hospitalization zione nella malattia reumatica) CIAMPOLINI, M., for the entire duration of their illness. The authors con- FRANCHINI, F., and TREVISAN, C. (1969). Minerva clude that a long period of hospital care and convales- pediat., 21, 2431 4 figs, 43 refs cence is required only in that 5 per cent. of patients who (See Abstr. Wld Med., (1970) 44, 503.) have chronic rheumatic fever. The others who attended the Day Hospital were able to resume normal activities Decreasing Incidence of a History of Acute Rheumatic including schooling much sooner than if they had con- Fever inChronicRheumaticHeart Disease VENDSBORG, P., tinued as in-patients. W. S. C. COPEMAN FAUERHOLDT-HANSEN, L., and OLESEN, K. H. (1968) Cardiologia, 53, 332 2 figs, 22 refs Acute Rheumatic Fever in Shiraz, Iran GHARIB, R. (See Abstr. Wld Med. (1970), 44, 548). (1969) Amer. J. Dis. Child., 118, 694 24 refs Some Aspects of Epidemiology and Surveillance of Although reports upon the incidence of rheumatic Rheumatic Fever 9rrAj, S., URBANEK, T., and BO§MAN- fever in several of the Middle Eastern countries have been SKY, K. (1970) Acta rheum. scand., 16, 30 4 figs, 20 refs 570 Annals of the Rheumatic Diseases Ann Rheum Dis: first published as 10.1136/ard.29.5.569 on 1 September 1970. Downloaded from Rheumatic Mitral Valvular Disease in the Adolescent. than in the control group. The authors conclude that Clinical Evaluation and Surgical Indications in 86 Cases most-but not all-heart disease found in rheumatoid (Valvulopatia mitral reumdtica del adolescent) MATA, arthritis patients is innocuous. W. S. C. COPEMAN M. L. A., SALOM6N, C. A., and ORDONqEZ, M. A. (1969) Arch. Inst. Cardiol. MWx., 39, 612 5 figs, 16 refs Rheumatoid Arthritis and the Xylose Tolerance Test Studies on the Serum Level of Neuraminic Acid in the GAMBLE, W. S., ABBRUZZESE, A., GRAY, S. J., and Course of Cardiac Failure in Children with Rheumatic BAYLES, T. B. (1969) Amer. J. Gastroent., 52, 445 2 figs, Fever [In Polish] SOWIN'SKA, J., and WOJTECKA, E. 36 refs (1969) Reumatologia (Warsz.), 7, 341 3 figs, 6 refs Among 35 patients with classical or definite rheumatoid arthritis, in whom there was no clinical evidence of Rheumatic Heart Disease Epidemiology. m. The San arteritis or amyloidosis and in whom renal function was Luis Valley Prevalence Study MORTON, W. E., WARNER, grossly normal, the 5-hour urine zylose was significantly A. L., WEIL, J. V., SHMOCK, C. L., JR., SNYDER, J., and reduced (below 6-2 g.) in eighteen, and in six of these LicHTY, J. A. (1970) Circulation, 41, 773 6 refs the serum zylose was raised. A low urine zylose was virtually restricted to females; it was not related to the Rheumatic Fever-1970 LUCKSTEAD, E. F., and DIEHL, titre of rheumatoid serum factor, nor explicable by the A. M. (1970) J. Kans. med. Soc., 71, 97 10 refs use of phenacetin. The authors consider these results to indicate renal impairment rather than intestinal malab- Criteria of Rheumatic Fever DAVIS (1970) Lancet, 1, sorption and suggest that the former may be commoner 1045 than is generally supposed. J. BALL Acute Rheumatic Fever in Virginia-Has it changed in the Last 20 Years? McCuE, C. M., ROBERTSON, L. W., Association of Rheumatoid Arthritis with Plasma Cell and ELDREDGE, W. J., and NOBLE, A. (1970) Virginia med. Lymphocytic Neoplasms GOLDENBERG, G. J., PARAS- Mth., 97, 273 5 figs, 6 refs KEVAS, F., and IsRAELs, L. G. (1969) Arthr. and Rheum. 12, 569-579 6 figs, 36 refs Acid-Base Equilibrium in the Treatment of Rheumatic (See Abstr. Wld Med. (1970), 44, 627) Fever in Children [In Polish] KORYCHA, A., PRONICKA, by copyright. E., JACOBSON, E., and KUBALSKA, J. (1970) Pediat. pol., 45, 413 3 figs, 19 refs Rheumatoid Arthritis, Dysproteinemic Arthropathy, and Paraproteinemia ZAWADZKI, Z. A., and BENEDEK, T. G. Renal Lesions in Rheumatic Heart Disease FAmmy, (1969) Arthr. and Rheum., 12, 555 2 figs, bibl. S. A. (1969) J. Egypt. med. Ass., 52, 524 11 figs, 9 refs (see Abstr. WId Med. (1970), 44, 628) Transient Complete A-V Block in Two Siblings during Association between Rheumatoid Arthritis and Psoriasis in Acute Rheumatic Carditis in Childhood STOCKER et al. Total Populations [In English] HELLGREN, L. (1969) (1970) Pediatrics, 45, 850 Acta rheum. scand., 15, 316 Bibl. (see Abstr. WId Med. (1970), 44, 455) http://ard.bmj.com/ Rheumatoid arthritis Heart Disease in Patients with Sero-positive Rheumatoid Disturbance of Pulmonary Diffusing Capacity in Rheuma- Arthritis BONFIGLIO, T., and ATWATER, E. C. (1969) toid Arthritis and Systemic Lupus Erythematosus (Diffu- Arch. intern. Med., 124, 714 44 refs sionsstorungen bei primarchronischer Polyarthritis und Lupus erythematodes disseminatus) LODDENKEMPER, R., Pericarditis as an autopsy finding in 30 to 40 per cent. of BACH, G. L., and CARTON, R. W. (1970) Beitr. Klin. cases of chronic rheumatoid arthritis has been reported Erforsch. Tuberk., 141, 230 2 figs, 30 refs in many series since Charcot's paper in 1881 which (see Abstr. Wld Med. (1970), 44, 548) on September 28, 2021 by guest. Protected recorded-such a finding in four out of nine examinations. The present authors report detailed post mortem observations in 47 cases of seropositive rheumatoid Studies on the Sicca Syndrome in Patients with Rh toid arthritis and confirm these findings-in an equal number Arthritis ERICSON, S., and SUNDMARK, E. (1970) Acta of unmatched controls it was uncommon. Such lesions, rheum. scand., 16, 60 1 fig., 50 refs although almost always benign, are often associated (see Abstr. Wld Med. (1970), 44, 772) with electrocardiographic changes during life. They also appear to relate to long duration of the arthritis disease Problems of Caplan's Syndrome (Zur Problematik des and severe musculoskeletal disability. Constrictive peri- Caplan-Syndroms) MoRAwErz, F., and ScHNErz, E. carditis and rheumatoid granulomata, however, are (1970) Wien. med. Wschr., 120, 103 4 figs, 17 refs rarely found. Myocarditis was found most frequently in patients with severe osteoporosis. Coronary arteritis, when discovered, seemed to be only doubtfully relevant R atoid Lung Disease (Acute Articular Rh tis) to the rheumatic condition; functionally important (Pneumopathie rhumatismale (Rhumatisme articulaire valvular disease was rate. Non-specific endocarditis, aigu)) CARVALHAL, S. S., ATRA, E., SAAD, F. A., and although found to be quite common, was not more so Pupo, R. A. (1969) Rev. Rhum., 36, 597 9 figs, 15 refs Abstracts 571 Ann Rheum Dis: first published as 10.1136/ard.29.5.569 on 1 September 1970.